Application of the Porto criteria for the diagnosis of paediatric inflammatory bowel disease in a paediatric reference centre

Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
J Martín de CarpiV Varea

Abstract

Inflammatory bowel diseases (IBD) have classically included two entities: Crohn's disease (CD) and ulcerative colitis (UC). The correct differentiation between these two diseases has important implications. The term inflammatory bowel disease unclassified (IBDu) describes inflammatory changes of the colon that cannot be classified as ulcerative colitis or Crohn's disease. This situation has been described in 20-30% of paediatric IBD at diagnosis. In order to reach a definitive diagnosis of suspicion of inflammatory bowel disease in children, the ESPGHAN (European Society for Paediatric Gastroenterology, Hepatology and Nutrition) established the Porto criteria (PC) in July 2005. The recommendations include: 1) total colonoscopy with ileal intubation, 2) upper endoscopy, 3) multiple biopsies and 4) complete small bowel exploration. To evaluate the diagnostic procedures used in our IBD patients regarding the PC. Retrospective review of the data of our IBD patients diagnosed in the last ten years (1999-2008) in a Spanish tertiary hospital, differentiating two periods: before and after the publication of the PC. A total of 108 IBD patients had been diagnosed (51 UC, 52 CD, 5 IBDu), 43 girls (39.81%), 65 boys (60.18%). According to t...Continue Reading

References

Jan 1, 2005·Inflammatory Bowel Diseases·Ron ShaoulArie Levine
Jan 14, 2005·Gut·D HeresbachUNKNOWN ABERMAD (Association Bretonne d'Etude et de Recherche sur les Maladies de l'Appareil Digestif)
Jul 2, 2005·Journal of Pediatric Gastroenterology and Nutrition·UNKNOWN IBD Working Group of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition
Jan 24, 2008·Inflammatory Bowel Diseases·Karel GeboesUNKNOWN Pathology Task Force of the International Organization of Inflammatory Bowel Diseases
Mar 11, 2009·Journal of Pediatric Gastroenterology and Nutrition·Elisa A EversSteven J Steiner

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Citations

Apr 27, 2012·Inflammatory Bowel Diseases·Javier Martín-de-CarpiUNKNOWN SPIRIT-IBD Working Group of Sociedad Española de Gastroenterología, Hepatología y Nutricion Pediátrica

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